CLAYTON A FREDERICK (NPI# 1982199675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982199675 |
| Entity Type | Individual |
| Full Name | CLAYTON A FREDERICK |
| Practice Address |
1791 Alum Creek Dr Ste 100 Columbus OH 43207-1708 |
| Mailing Address |
2780 Airport Dr Ste 100 Columbus OH 43219-2289 |
| Practice Telephone | 6146452300 |
| Practice Fax Number | 6146452333 |
| Mailing Telephone | 6148591906 |
| Mailing Fax Number | 6146455517 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.392650 | OH | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
022933 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1855 E Dublin Granville Rd, Columbus, OH 432293516 | 6142677003 |
| Street Address |
1791 ALUM CREEK DR STE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43207-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194071050 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2012-07-30 |
| 1174081822 | Dominique Terence Jackson | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2019-03-12 |
| 1215427679 | Grace Lucile Gotschall | Clinic/Center | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708 | 2018-05-11 |
| 1194213645 | Rachel Bishop | Social Worker | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2018-04-30 |
| 1962897769 | Laura Lynn Mcneil | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1093245763 | Royce Scott | Home Health | 254 E. Barthman Ave, Columbus, OH 43207 | 2017-06-15 |
| 1497207930 | Vernon C Murphy Jr. | Counselor | 1430 S High St Suite 112, Columbus, OH 43207 | 2016-11-01 |
| 1669825931 | Ayamba Roselyn Tanyi | Social Worker | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-07-21 |
| 1629421268 | Tiffany Dawn Hinkle | Counselor | 1430 S. High St, Suite 112, Columbus, OH 43207 | 2016-07-19 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1053712976 | A Plus Children's Academy Community School | Local Education Agency (LEA) | 110 Obetz Rd., Columbus, OH 43207 | 2014-09-10 |
| 1407274301 | William Hamilton Marshall V | Student in an Organized Health Care Education/Training Program | 1405 South High St, South High Primary Care Center, Columbus, OH 43207 | 2014-03-29 |
| 1912249665 | Laura Romcevich | Internal Medicine | 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2013-03-20 |
| Find all providers in zip 43207 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| 1750994125 | Soumi Dey | Nurse Practitioner | 2085 Citygate Dr, Columbus, OH 43219-3656 | 2020-08-26 |
| 1063024065 | Tanna Lynn Lok | Nurse Practitioner | 4545 Fisher Rd, Columbus, OH 43228-8923 | 2020-08-20 |
| 1548878937 | Tracy King | Nurse Practitioner | 2561 Bryden Rd, Columbus, OH 43209-2135 | 2020-07-21 |
| 1598386641 | Brina Nakia Smith | Nurse Practitioner | 3 Kingsridge Ct, Columbus, GA 31907-3730 | 2020-04-29 |
| 1770111361 | Donna Betty Mitchell | Nurse Practitioner | 48 Northstar Dr, Columbus, GA 31907-6348 | 2020-03-30 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1164073227 | Victoria Hargrove | Nurse Practitioner | 2473 Highway 69 S, Columbus, MS 39702-9248 | 2019-09-20 |
| 1700431657 | Ohio Tms Clinic LLC | Nurse Practitioner | 3099 Sullivant Ave, Columbus, OH 43204-1895 | 2019-08-07 |
| 1780238204 | Gail Lorine Jones | Nurse Practitioner | 820 Brookstone Centre Pkwy # Ga31904, Columbus, GA 31904-9246 | 2019-08-01 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.